Provider Demographics
NPI:1144663568
Name:GRAY, KATY E (MD)
Entity type:Individual
Prefix:
First Name:KATY
Middle Name:E
Last Name:GRAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 776084
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60677-2988
Mailing Address - Country:US
Mailing Address - Phone:314-842-4802
Mailing Address - Fax:314-849-8721
Practice Address - Street 1:10777 SUNSET OFFICE DR STE 200
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63127-1019
Practice Address - Country:US
Practice Address - Phone:314-842-4802
Practice Address - Fax:314-849-8721
Is Sole Proprietor?:No
Enumeration Date:2013-04-16
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036150228207V00000X
MO2022012932207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology